NICOLE CATHARINE SMITH PA-C
NPI 1801443635
Physician Assistant - Medical in Douglassville, PA

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
1139 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518(610) 385-4444 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2023, Nov 3, 2021, Aug 26, 2019 (3 updates tracked since 2019).

About Nicole Catharine Smith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE CATHARINE SMITH PA-C (NPI 1801443635) is an individual medical provider in Douglassville, Pennsylvania and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801443635
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE CATHARINE SMITHCredential: PA-C
Location Address1139 BEN FRANKLIN HWY WDouglassville, PA 19518-1850
Mailing Address16 Glocker WayPottstown, PA 19465 · (215) 873-1679
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateApril 13, 20233 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
NPI 1801443635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1139 BEN FRANKLIN HWY W, Douglassville, PA 19518

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Catharine Smith Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395171219
PECOS Enrollment IDI20200212000798
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
144 services138 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services34 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
31 services29 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
17 services17 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.02
Promoting Interoperability96
Improvement Activities40
Cost43.7

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
1139 BEN FRANKLIN HWY W
DOUGLASSVILLE, PA 19518
Physician Assistant (Medical)
1139 BEN FRANKLIN HWY W
DOUGLASSVILLE, PA 19518
Physician Assistant (Medical)
1139 BEN FRANKLIN HWY W
DOUGLASSVILLE, PA 19518
Physician Assistant
1139 BEN FRANKLIN HWY W, SUITE 114
DOUGLASSVILLE, PA 19518

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801443635, enumerated as an "individual" on August 26, 2019.

The provider is located at 1139 BEN FRANKLIN HWY W DOUGLASSVILLE, PA 19518 and the phone number is (610) 385-4444.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Nicole Smith is affiliated with: READING HOSPITAL.